James Planicka, DDS, suffered a severe heart attack in 2005 at age 65, after which he received an implantable cardioverter defibrillator (ICD). In May 2010, at age 70, he presented to Inova Fairfax Hospital for replacement of the ICD generator. The attending anesthesiologist and Certified Registered Nurse Anesthetist (CRNA) met with the patient before the ...